The newly updated Interventional Cardiac Catheterization Handbook helps you to effectively perform common therapeutic interventions. This convenient handbook provides full-color illustrations and videos showcasing up-to-date, step-by-step methods for the most widely practiced interventional cardiology procedures!Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Compatible with Kindle®, nook®, and other popular devices.Review traditional procedures as well as more specialized interventions, including laser angioplasty, atherectomy, and stent implantation.Quickly access the information you need with the help of an easy-to-read outline format, which includes helpful tables and boldfaced key terms.An excellent complement to the 5th Edition of Kern's Cardiac Catheterization Handbook, the Interventional Cardiac Catheterization Handbook is also an ideal review tool for the boards.Make optimal use of the latest techniques with coverage of coronary interventions using radial access; advances in femoral closure devices; avoidance of restenosis; interventions for peripheral vascular disease; LV support devices for high-risk PCI; indications and potential pitfalls of new stents and approach to failing dialysis shunts.Effectively evaluate coronary and peripheral vascular disease with full coverage of non-angiographic imaging techniques including FFR, OCT, IVUS and the new tools to assess intravascular plaque composition.View online videos demonstrating Radial Access, Tandem Heart for High-Risk PCI, FFR for Serial Lesions, Thromboaspiration for STEMI, Management of Coronary Perforation, and more at www.expertconsult.com!
Coronary stenting is the most commonly used method of myocardial revascularization, with approximately 2 million stents implanted in 2004 throughout the world. The development of drug eluting stents has resulted in very low rates of repeat intervention and will further increase the scope for percutaneous coronary intervention.
The evidence from large randomized trials is generally accepted to be the gold standard source of information for patient care in interventional cardiology. However, it is well recognized that information from these trials is frequently insufficient to guide the wide-ranging clinical situations found in routine practice. In this context, decision-making is often based on a composite of information from multiple clinical studies, pathophysiological considerations and importantly, personal experience or 'gut-feeling'.
This book, written by internationally recognized experts in their field, provides clear and concise recommendations regarding various challenging clinical situations facing the interventional cardiologist on a daily basis.
Globally recognized editors and contributors draw on their years of experience to provide practical information emphasizing the basics of material selection and optimal angiographic setup for purposes of the interventional procedure. Comprehensive chapters address the different techniques of approaching complex coronary lesions such as chronic occlusions, bifurcations, and unprotected left main lesions.
Cardiovascular diseases are the leading cause of death in Western countries. In non-fatal cases, they are associated with a decreased quality of life as well as a substantial economic burden to society. Most sudden cardiac events are related to the complications of a non-stenosing marginal plaque. For this reason, the ability to properly identify the atherosclerotic plaque with a rapid, non-invasive technique is of utmost clinical interest in therapeutic planning. Coronary CT angiography produces high-quality images of the coronary arteries, in addition to defining their location and the extent of the atherosclerotic involvement. Proper knowledge of the equipment, adequate preparation of the patient, and accurate evaluation of the images are essential to obtaining a consistent clinical diagnosis in every case. With its clear and concise presentation of CT imaging of the coronary arteries, this volume provides general practitioners and cardiologists with a basic understanding of the technique. For radiologists with no direct experience in cardiac imaging, the book serves as an important source of information on coronary pathophysiology and anatomy.
Chronic Total Occlusions provides interventionalists insight into the world of CTOs with introductory chapters that describe the pathology and indications of CTOs along with a review of clinical trials. Imaging modalities including CT angiography, magnetic navigation wire, and IVUS guided recanalization of CTO are also introduced, together with information on new wires technology and devices for CTOs.
With numerous illustrations of these devices, technologies, and strategies to improve the CTO success rate, this clinical guide, headed up by Ron Waksman, will prove to be the ideal companion for interventional cardiologists and cardiac surgeons who are required to perform angioplasty and coronary stenting.
Chronic total occlusions (CTO) are common, and found in approximately one third of patients with significant coronary artery disease who undergo angiography. CTO constitute one of the main criteria when selecting between angioplasty and bypass surgery. Angioplasty for CTO is intricate and requires excellent operator skill, but even when performed under the best circumstances, it is plagued by lower success rates when compared to non-total occlusions. The main difficulty with CTO lies not with choosing which stent to use, but rather occurs during earlier steps of crossing the lesion and advancing the wire into the true lumen of the distal vessel. Having accomplished this, the rates of restenosis are prohibitively high. Mehran, Dangas and an international team of experienced operators offer the reader sound advice on the evaluation and management of CTO in both the coronary and peripheral vascular systems. Their practical guidance should aid all those working with this difficult subset of patients.
Interventional Cardiology came into being during early 1950s. Interventional cardiology has seen substantial advances in last couple of decades, be it World or India. Interventional Cardiology started as brachial artery coronary cine angiography. The initial decade after the advent of interventional cardiology was only dedicated to its diagnostic use; it was in late seventies when the horizon of interventional cardiology broadened. In 1977 Andreas Gruentzig introduced the cardiologist to therapy, with percutaneous transluminal coronary angioplasty (PTCA). This initially slender spectrum of balloon dilatation has broadened into the large spectrum of interventional cardiology, which now encompasses both diagnostic and therapeutic modalities for coronary artery disease. The main advantages of interventional cardiology are the avoidance of the pain, scars, and long postoperative recovery associated with surgery. The book is a comprehensive guide to understand the clinical application of Interventional Cardiology with special reference and experience in India. The authors have put together the most relevant facts about the disease for an easy comprehension and understanding of the same by practitioners and students across the specialty.